1699851683 NPI number — WEST COUNTY EMS AND FIRE PROTECTION DISTRICT

Table of content: (NPI 1699851683)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699851683 NPI number — WEST COUNTY EMS AND FIRE PROTECTION DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WEST COUNTY EMS AND FIRE PROTECTION DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699851683
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/30/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
223 HENRY AVE.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANCHESTER
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63011
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
636-227-9350
Provider Business Mailing Address Fax Number:
636-227-5931

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
223 HENRY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MANCHESTER
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63011-4019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-538-8278
Provider Business Practice Location Address Fax Number:
580-628-2273
Provider Enumeration Date:
10/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SADTLER
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
Authorized Official Title or Position:
ASSISTANT CHIEF
Authorized Official Telephone Number:
636-256-2001

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  189146 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 805121407 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 590014194 . This is a "RRMC PROVIDER NUMBER" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 29854 . This is a "BCBS PROVIDER NUMBER" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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